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1528051166
THOMAS JOSEPH RUSSELL
BROOKFIELD, WI
NPI
1528051166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: WI 15093020)
Enumeration Date
2005-08-30
Last Update Date
2008-04-20
Business Address
-- THOMAS JOSEPH RUSSELL MD
13800 W NORTH AVE STE 100
BROOKFIELD, WI 53005-4974
Phone number: 262-754-4488
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Mailing Address
-- THOMAS JOSEPH RUSSELL MD
13800 W NORTH AVE STE 100
BROOKFIELD, WI 53005-4974
Phone number: 262-754-4488
Copy
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